The main manifestations of cervical spondylosis

  Cervical spondylosis, as the name implies, is a disease caused by lesions in the cervical spine. To be precise, cervical spondylosis refers to degenerative changes in the intervertebral discs, cervical joints, cartilage, ligaments, muscles, fascia, etc. and their secondary changes, resulting in damage to the spinal cord, nerves, blood vessels and other tissues, such as compression, irritation, instability, etc. The resulting series of clinical symptoms are called cervical spondylosis.  What are the main manifestations?  This disease is a common and frequent disease, which is more common in adults between the ages of 40 and 60, with more men than women. The lesions mainly involve the intervertebral discs and surrounding fibrous structures of the cervical spine, accompanied by significant degeneration of the cervical nerve roots and spinal cord. The main clinical symptoms of the disease include pain in the head, neck, arm, hand and anterior chest, and there may be progressive limb sensory and motor disorders, and in severe cases, it may lead to limb weakness, even incontinence and paralysis, and if the vertebral artery and sympathetic nerve are involved, corresponding clinical manifestations such as dizziness, panic and heartbeat may occur. What are the diagnostic criteria for orthopaedic surgery of Huanggang Central Hospital Ai Ke?  There are two diagnostic criteria for this disease: (1) The diagnosis can be confirmed if the clinical manifestations and X-ray are consistent with the onset of cervical spine.  (2) Those with typical clinical manifestations of morbidity and no abnormalities on X-ray should be diagnosed with the exclusion of other disorders.  However, for those who have no clinical complaints and signs but have abnormalities on X-ray, the diagnosis of cervical spondylosis should not be made. The positive findings on the X-ray can be described.  How many types can be classified?  Cervical spondylosis can be broadly classified into five types: cervical, radicular, spinal, vertebral artery and sympathetic.  What are the characteristics of the pain caused by cervical spondylosis?  Cervical spondylosis can present with a wide range of pain, which varies from case to case. (1) Localized pain: Mostly dull pain or hidden pain, a few are stabbing pains, which are caused by the imbalance of the neck muscles due to the change of the position of the intervertebral joints. It is mostly seen in the morning and is mostly related to improper sleeping posture.  (2) Radicular pain: pain radiating along the upper limb to the hand is caused by stimulation, compression or pulling of the spinal nerve root. The pain distribution area is consistent with the spinal nerve division area of the affected node, and is mostly tingling, often accompanied by numbness.  (3) Vascular pain: mainly refers to migraine caused by vertebral artery ischemia, mostly one-sided, confined to the temporal region, with brief attacks of throbbing pain or burning pain, often accompanied by vertigo. Each attack is mostly associated with neck rotation or neck scoliosis.  (4) Pulling pain: It refers to the involvement of cervical spine segments, causing pain in the visceral area of the corresponding segment. The following cervical cervical spondylosis may be accompanied by angina pectoris or stomach pain symptoms along with upper limb symptoms.  What are the treatments for cervical spondylosis?  What are the treatments for cervical spondylosis: Although the symptoms of cervical spondylosis are complicated, most patients can recover as long as we pay attention to it and treat it actively. With the continuous development of science and technology, our understanding of this disease will continue to deepen, and the treatment means and prevention methods will continue to improve, and the efficacy will become better and better.  At present, there are many methods to treat cervical spondylosis at home and abroad, which can be divided into two categories: non-surgical treatment and surgical treatment. At present, China mostly uses a combination of Chinese and Western medicine to treat cervical spondylosis. Most patients can obtain better results through non-surgical treatment, and it is popular because it costs less and is less painful. Only in a small number of cases, the symptoms of nerve, blood vessel and spinal cord compression are progressively aggravated or recurrent, seriously affecting work and life, and only then surgery is required. Non-surgical treatments include manipulation, Chinese and Western medicine, neck collar, cervical pillow, cervical traction, local closure, physiotherapy, acupuncture and functional exercise, etc. Surgical treatments include posterior laminectomy and decompression, anterior discectomy, interbody bone grafting, bone spur resection, vertebral artery decompression, etc. The appropriate treatment method should be selected according to the patient’s condition.  What is the prognosis of cervical spondylosis?  Most patients with cervical spondylosis generally have a pattern from acute attack to remission, re-attack and remission. Most patients with cervical spondylosis have a good prognosis, and only a few patients need surgery. Generally speaking, cervical cervical spondylosis has a good prognosis, and although there are worries about recurrent attacks, it does not cause serious damage to brain power and physical strength; the prognosis of neurogenic cervical spondylosis varies, among which the numbness type has a good prognosis, the atrophy type is worse, and the root pain type is between the two; vertebral artery type cervical spondylosis mostly occurs after middle age, and has a more serious impact on brain power and no significant impact on Some patients with the vertebral artery type eventually develop hemiplegia, crossed paresis, or even quadriplegia due to insufficient blood supply to the vertebral basilar artery system; the spinal cord type of cervical spondylosis causes more serious physical damage to patients, and if not actively treated, it mostly leads to lifelong disability, but has little effect on brain power.  Why is non-surgical treatment the basic method of treating cervical spondylosis?  Cervical spondylosis is accelerated by various additional factors on top of the degeneration of the human body. Therefore, in order to stop, slow down or reverse this process, a series of preventive and therapeutic measures must be taken. These measures include medication, manipulation and physical therapy, as well as correction of poor sitting and sleeping posture, reduction of cervical spine gap pressure and change of cervical spine load line, which are the most basic and effective measures for cervical spondylosis. Thus, non-surgical treatment is the basic treatment for this disease.